摘要
目的探讨3种术前教育方法对腹部手术患者术后自控镇痛(PCA)的作用。方法类实验性研究。以单纯随机抽样法选择腹部手术后使用PCA泵的患者90例,分为对照组、实验组Ⅰ和Ⅱ,每组30例。对照组术前1d由麻醉医师进行术前教育,介绍PCA泵使用方法;实验组Ⅰ术前1d由研究者根据教育提纲进行40min的系统化口头宣教;实验组Ⅱ术前1d阅读PCA教育手册,再接受研究者的个别指导。评价3组术后6、24、36、48h的疼痛强度。结果术后6、24、36、48h,对照组疼痛评分明显高于实验组Ⅰ、Ⅱ;术后早期6、24h,实验组Ⅰ疼痛评分明显高于实验组Ⅱ;术后36、48h,实验组Ⅰ疼痛评分与实验组Ⅱ差异无显著性意义。结论系统化口头教育和发放教育手册能有效降低术后患者疼痛;术后早期24h内,发放教育手册比系统化口头教育能更有效地降低术后疼痛。
Objective To explore the effect of three different preoperative education methods on patients applied patientcontrolled analgesia （PCA） after abdominal surgery. Methods Quasi-experimental study. 90 patients applied intravenous PCA after abdominal surgery were divided into three groups：control group,experimental group Ⅰ and experimental group Ⅱ （n= 30 in each group）. One day before operation, anesthetists introduced how to use PCA to control group, researchers had gave systematic preoperative oral education to group Ⅰ for 40rain, and let experimental group Ⅱ read preoperative education handbook, then gave them personal guidance. VAS pain scores at 6, 24, 36 and 48 hours after operation were evaluated. Results The pain scores in experimental group Ⅰ and Ⅱ were lower than those of control group at 6, 24, 36 and 48 hours after operation. 6 and 24 hours the pain scores in experimental group Ⅱ were obviously lower than those of group Ⅰ. There were no significant difference between experimental group Ⅰ and Ⅱ at 36 and 48 hours. Conclusions Systematic preoperative oral education and preoperative education handbook can effectively decrease the patientsr pain after abdominal surgery. Within the early postoperative 24 hours, given preoperative education handbook was more effective than systematic preoperative oral education.
出处
《中华护理杂志》
CSCD
北大核心
2005年第11期807-809,共3页
Chinese Journal of Nursing
基金
武汉科技大学校科学研究发展基金资助
关键词
镇痛
病人控制
疼痛
手术后
病人教育
Analgesia,patient-controlledⅠ Pain,postoperative
Patient education
